Town Creek Pharmacy

LBN: Lone Star Pain Medicine Pllc
Town Creek Pharmacy is an health care organization with primary practice located at 907 Eureka St Ste B , Weatherford TX 76086-5880. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lone Star Pain Medicine Pllc can be contacted via phone (817) 458-5292, or through Miskimins, Tammie via phone (817) 572-0009.

Contact Information

Primary practice address
907 Eureka St Ste B Weatherford TX 76086-5880
Phone: (817) 458-5292
Fax: (817) 599-3456
Website:
Map and Directions
Authorized official contact:
Name: Miskimins, Tammie
Phone: (817) 572-0009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 29653 Texas

Profile Details

NPI number 1982092102
LBN Legal business name Lone Star Pain Medicine Pllc
DBA Doing business as Town Creek Pharmacy
Authorized official Miskimins, Tammie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2014
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982092102 NPPES
Other 2149304 PK

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